Brandon Cervantes

NPI #1205410552 in Draper, Utah

Provider Information

NPI Number: 1205410552
Entity Type: Individual
Name: Brandon Cervantes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Enumeration Date: May 11, 2021
Last Updated: May 11, 2021

Practice Location

Address: 12637 S 265 W STE 300
City: Draper
State: Utah
ZIP Code: 84020-5403
Phone: (801) 998-8428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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